JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Thedacare Regional Medical Center - Appleton Inc

4 / 5

At a glance

Thedacare Regional Medical Center - Appleton Inc carries a 4-star CMS overall rating — above the national norm. For 30-day readmissions, it beats the national rate on 1 measure and trails on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.057Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.124Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6724Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.879Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.340Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.121Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.296Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6218Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.300Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.476Same as national
SSI - Colon Surgery: Lower Confidence Limit0.012Same as national
SSI - Colon Surgery: Upper Confidence Limit1.143Same as national
SSI - Colon Surgery: Number of Procedures163Same as national
SSI - Colon Surgery: Predicted Cases4.316Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.232Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures6Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.067Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.026Same as national
MRSA Bacteremia: Upper Confidence Limit2.600Same as national
MRSA Bacteremia: Patient Days35686Same as national
MRSA Bacteremia: Predicted Cases1.897Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.527Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.464Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.455Same as national
Clostridium Difficile (C.Diff): Patient Days34461Same as national
Clostridium Difficile (C.Diff): Predicted Cases14.025Same as national
Clostridium Difficile (C.Diff): Observed Cases12Same as national
Clostridium Difficile (C.Diff)0.856Same as national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients3.5Same as national102
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national750
Death rate for heart attack patients12.7Same as national130
Death rate for CABG surgery patients3.6Same as national50
Death rate for COPD patients9.2Same as national42
Death rate for heart failure patients16.8Worse than national188
Death rate for pneumonia patients16.7Same as national149
Death rate for stroke patients13.8Same as national45
Pressure ulcer rate2.37Worse than national1900
Death rate among surgical inpatients with serious treatable complications173.41Same as national44
Iatrogenic pneumothorax rate0.18Same as national2716
In-hospital fall-associated fracture rate0.28Same as national2789
Postoperative hemorrhage or hematoma rate2.22Same as national1023
Postoperative acute kidney injury requiring dialysis rate2.18Same as national465
Postoperative respiratory failure rate11.98Same as national473
Perioperative pulmonary embolism or deep vein thrombosis rate2.32Same as national1069
Postoperative sepsis rate5.22Same as national421
Postoperative wound dehiscence rate1.99Same as national182
Abdominopelvic accidental puncture or laceration rate1.13Same as national559
CMS Medicare PSI 90: Patient safety and adverse events composite1.54Worse than national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients-22.8Not available149
Hospital return days for heart failure patients-44.6Not available202
Hospital return days for pneumonia patients-56.1Not available155
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.1Better than national1087
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12Same as national1931
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.6Same as national215
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.8Same as national215
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national621
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.9Same as national149
Rate of readmission for CABG9.7Same as national46
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national45
Heart failure (HF) 30-Day Readmission Rate18.1Same as national202
Rate of readmission after hip/knee replacement4.4Same as national92
Pneumonia (PN) 30-Day Readmission Rate14.1Same as national155

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating42346
Doctor communication - star rating32346
Communication about medicines - star rating32346
Discharge information - star rating42346
Cleanliness - star rating42346
Quietness - star rating42346
Overall hospital rating - star rating42346
Recommend hospital - star rating42346
Summary star rating42346

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumemedium
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia610914
Hospital Harm - Severe Hypoglycemia12630
Hospital Harm - Opioid Related Adverse Events05235
Healthcare workers given influenza vaccination452103
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better148406
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better147393
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better24411
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen236360
Head CT results7520
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99118
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5032
Safe Use of Opioids - Concurrent Prescribing122619
Appropriate care for severe sepsis and septic shock71298
Septic Shock 3-Hour Bundle76109
Septic Shock 6-Hour Bundle8763
Severe Sepsis 3-Hour Bundle85299
Severe Sepsis 6-Hour Bundle97129
Discharged on Antithrombotic Therapy97112
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29994
Venous Thromboembolism Prophylaxis904541
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Thedacare Regional Medical Center - Appleton Inc rated?
Thedacare Regional Medical Center - Appleton Inc has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Thedacare Regional Medical Center - Appleton Inc have emergency services?
Yes. Thedacare Regional Medical Center - Appleton Inc operates a 24/7 emergency department.
Where is Thedacare Regional Medical Center - Appleton Inc located?
Thedacare Regional Medical Center - Appleton Inc is located at 1818 N Meade St, Appleton, WI 54911.
What type of hospital is Thedacare Regional Medical Center - Appleton Inc?
Thedacare Regional Medical Center - Appleton Inc is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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